Healthcare Provider Details

I. General information

NPI: 1063986289
Provider Name (Legal Business Name): PICTURE PERFECT ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4332 CENTRAL AVE STE M
HOT SPRINGS AR
71913-7255
US

IV. Provider business mailing address

4332 CENTRAL AVE STE M
HOT SPRINGS AR
71913-7255
US

V. Phone/Fax

Practice location:
  • Phone: 501-463-9063
  • Fax:
Mailing address:
  • Phone: 501-463-9063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: BUDIMIR RATKOVIC
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 501-463-9063